Provider Demographics
NPI:1891987046
Name:SINQUEFIELD, SANDRA ARLENE (RN)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:ARLENE
Last Name:SINQUEFIELD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1990 S BURLESON BLVD TRLR 6
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-1609
Mailing Address - Country:US
Mailing Address - Phone:817-584-8245
Mailing Address - Fax:
Practice Address - Street 1:1990 S BURLESON BLVD TRLR 6
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-1609
Practice Address - Country:US
Practice Address - Phone:817-584-8245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-13
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX596897163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine